Experienced Full-Time Remote Contact Center Agent – Customer Service Representative for Dynamic Healthcare Team

Welcome to blithequark At blithequark, we are passionate about delivering exceptional customer experiences and making a positive impact in the lives of our members and providers. As a leader in the healthcare industry, we are committed to providing top-notch assistance, addressing a wide range of inquiries, and resolving issues efficiently. We are excited to announce an immediate opening for a dedicated and skilled Contact Center Agent – Customer Service Representative to join our dynamic team. Job Overview In this pivotal role, you will be the frontline of our operations, ensuring member satisfaction through effective communication, problem resolution, and client education. As a Contact Center Service Agent, you will provide support to our members and providers, addressing inquiries related to insurance, applications, and claims across various product lines, including Medicare and Medicaid. Your role will also include retention of membership, handling dis-enrollments, and escalating issues that require further intervention. Key Responsibilities Interact with providers and members via phone to provide information in response to inquiries, concerns, and questions about insurance coverage and products offered by blithequark. Transfer calls from members and providers to the appropriate department, ensuring seamless communication and resolution. Follow up on inquiries and complaints that have not been resolved, demonstrating a commitment to exceptional customer service. Perform research on billing inquiries and claims to provide payments and refunds, utilizing our computer system to analyze the caller's situation. Act as a liaison between various departments to address concerns, providing timely and effective solutions. Identify, research, and resolve customer issues using our computer system, maintaining a high level of accuracy and attention to detail. Follow up on customer inquiries not immediately resolved, ensuring that all issues are addressed and resolved efficiently. Research member/provider billing and claims issues, as well as payment and refund issues, to provide accurate and timely resolutions. Handle and resolve customer complaints in a professional and courteous manner, demonstrating empathy and understanding. Navigate through automated information systems to analyze the caller's situation, providing personalized support and solutions. Demonstrate the ability to perform in a fast-paced, changing environment, adapting to new situations and challenges with ease. Serve as a liaison between the customer and various departments, facilitating communication and collaboration. Perform other duties as assigned by the management team related to job functions, including sorting incoming faxes, correspondence, and faxing transportation forms. Essential Qualifications To be successful in this role, you will need: A High School Diploma or GED. Work experience in a face-to-face or call center environment, demonstrating strong communication and customer service skills. Experience multitasking between programs and completing required data entry of client demographics or client look-up systems while talking to blithequark customers. Work experience using a corporate email system, with the ability to navigate through system applications on a desktop computer or laptop. Adaptability to a fast-paced and ever-changing environment, with flexibility to work evening and weekends due to business needs. Preferred Qualifications While not required, the following qualifications are highly preferred: Ability to proficiently read, write, and speak English and either Russian, Mandarin, Cantonese, or Spanish. Healthcare industry work experience, with a strong understanding of insurance, applications, and claims. Call Center experience in a metrics-driven environment, with a focus on delivering exceptional customer service and meeting performance targets. Previous healthcare work experience interacting with members and/or providers, demonstrating a commitment to delivering high-quality support and solutions. What We Offer At blithequark, we are committed to providing a competitive compensation and benefits package, including: A competitive salary, commensurate with your location and experience. Overtime opportunities and quarterly bonuses, averaging $1,100 every three months. A comprehensive benefits package, including Medical, Dental, Vision, Basic Life & Accident Insurance, Flexible Reimbursement Accounts, Employee Assistance Plan, and 401(k) plan. A 6-week paid virtual training program, providing you with the skills and knowledge needed to succeed in this role. Career growth opportunities, with the potential to move into performance support, Senior Agent roles, people leader roles, business analytics, workforce effectiveness, and other areas. Work Environment and Culture At blithequark, we are proud of our dynamic and supportive work environment, with a strong focus on teamwork, collaboration, and employee well-being. As a remote worker, you will have the flexibility to work from the comfort of your own home, while still being part of our vibrant and engaged team. How to Apply If you are a motivated and customer-focused individual, with a passion for delivering exceptional service and support, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, outlining your experience, skills, and qualifications for this role. Equal Opportunities blithequark is an equal opportunities employer, committed to creating a diverse and inclusive work environment. We welcome applications from all qualified candidates, regardless of their background, culture, or personal characteristics. Conclusion Thank you for considering this exciting opportunity to join our team at blithequark. We look forward to receiving your application and exploring how you can contribute to our mission of delivering exceptional customer experiences and making a positive impact in the lives of our members and providers. Don't hesitate to apply – we can't wait to hear from you!